- SUNY Upstate Medical University (Syracuse, NY)
- …with understanding prior authorizations and their medical (and possibly the pharmacy ) benefits as required. Educates patients and clinic staff regarding requirement ... for insurance plan to complete prior authorization. Answers inbound inquires related to prior authorizations and assists billing group on insurance claims. Completes outbound calls to payors and clinics to assist with prior authorizations. + Verifies insurance… more
- NHS Management, LLC (Northport, AL)
- …for low income subsidy if applicable. Ensures that all adjudicated prescriptions leaving the pharmacy have received a paid response or the claim has been resolved to ... bill to the next appropriate payor. Performs and/or oversees the completion of all routine and tasks, including but not limited to: + + Resolution of rejections, denials and PA's associated with all adjudicated Medicaid, Medicare D or Private Insurance claims.… more
- Henry Ford Health System (Jackson, MI)
- …care, health insurance, a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With former Ascension southeast ... Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the… more
- Albany Medical Center (Albany, NY)
- …to Coordinate bed access/team approach (ICU or floor admitting MD/ Pharmacy /Nurse Manager/Clinical Nurse Specialist /Consulting MD), prior authorization, protocols ... to Coordinate bed access/team approach (ICU or floor admitting MD/ Pharmacy /Nurse Manager/Clinical Nurse Specialist /Consulting MD), prior authorization, protocols… more
- Baylor Scott & White Health (Johnson City, TX)
- …listening for note-writing, starting June 2025) + **EConsults** (formal "curbside" specialist consultations) + ** Pharmacy consults** for medication selection and ... formulary compliance + Built-in audio/video visits and **Digital Quick Visits** for patient messages and follow-up + **Team-based approaches** to reduce provider burden: + **RX Workgroup** (handles refill and prior authorization requests) + **RN Case… more
- Access Dubuque (Dubuque, IA)
- Member Advocate **MedOne Pharmacy Benefit Solutions** 1 Positions ID: 3545999 Posted On 09/03/2025 **Job Overview** **Position Overview:** Are you passionate about ... voice assisting our members, pharmacies, and healthcare providers with their pharmacy benefits. We are especially encouraging candidates with an **active Certified… more
- Virginia Mason Franciscan Health (Federal Way, WA)
- …pharmacist specialist (s) as appropriate to provide needed education for pharmacy staff, hospital staff, and physicians. + Presents medication-related issues at ... make recommendations to enhance patient care. + Collaborates with pharmacist specialist (s) as appropriate to optimize medication-related patient care. + Documents… more
- SSM Health (Oklahoma City, OK)
- …at St. Anthony **Worker Type:** Regular **Job Highlights:** Coordinates clinical services for Specialist at Main Campus and Bone & Joint Hospital. Specialist ... assigned scope of service. Continuously assesses and improves the performance of pharmacy services provides. + Implements policies relevant to the operation of the… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Fully Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE Polaris Pharmacy Services is an ... Prior Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Remote Type… more
- CVS Health (Mesa, AZ)
- …is responsible for all daily operations of a Telepharmacy Remote Dispensing Pharmacy location, where the Pharmacist oversight occurs from a separate Supervising ... Pharmacy location. Telepharmacy Technicians build upon the skills and...constantly to move objects **Preferred Qualifications** Experience in Inventory Specialist Role **Education** High School diploma or equivalent **Anticipated… more